Lungs And Pleura Flashcards

1
Q

Pulmonary ligament

A

Anterior to the esophagus
It’s double layered
Inferior to the root

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Mediastinal pleura

A

Covers the lateral side of the mediastinum

Continues with the cervical pleural, costal pleural(anterior) , diaphragmatic ( inferior)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cervical pleura

A

Covers the apex of the lung
Extends into the root of the neck ( 3-4cm above the level of the costal cartilage, up to the level of the 1st rib)
Summit( 2-3 cm above the medial third of clavicle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Supra pleural membrane is also known as

A

Sibson fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Supra pleural fascia

A

Fibrous thickening, c7 transverse process to internal border of first rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diaphragmatic pleura

A

Covers the superior surface of the diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Phrenicopleural fascia

A

Continuous with endothoracic and connects with the diaphragm with the diaphragmatic pleurae.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pleural lines

A

Sternoclavicular joint to behind the sternal. Right and left descend in contact with each other to the 4 th costal cartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Right side of the pleural lines

A

Passes down to the xiphisternal joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Left side pleura line

A

Line diverges laterally from the lateral margin of the sternum to 6th costal cartilage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pleural reflection

A

These are the relatively abrupt lines along whic the parietal pleura folds back or changes direction from one wall of the pleural cavity or another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sternal line of reflection

A

This is where the costal pleural is continuous with the mediastinal pleura, posterior to the sternum .

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Costal line of reflection

A

Continues obliquely to the 8th rib in the midclavicular line, 10th rib in midaxillary.

It crosses the 12th rib to the level of t12 vertebral spines. The para vertebral plane.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The pleural recess

A

During the inspiration, the lungs fill the pleural cavity, but during respiration, the lungs do not fill these part so the cavity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Costomediastinal recess

A

Behind the sternum and costal cartilages, anterior margin of the lung fails to reach the anterior margin of the pleura.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Costodiaphragmatic

A

Between the costal and diaphragmatic pleurae. They are slit like intervals btw the costal and diaphragmatic pleurae on each side.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why is the left recess larger

A

Because of the presence of a semicircular deficiency, the cardiac notch, in the left lung anterior to the pericardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Arterial supply and venous drainage of parietal

A

Internal thoracic, intercostal, musculophenric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Cervical pleura is supplied by ?

A

Branches of subclavian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Arterial supply of visceral pleural

A

Bronchial artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Venous drainage of visceral pleurae

A

Pulmonary vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Development of parietal pleurae

A

Somatopleural layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Development of visceral pleurae

A

Splanchopleural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Nerve supply of parietal

A

Intercostal (costal and peripheral diaphragmatic )

Phrenic ( mediastinal and central diaphragmatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Visceral nerve supply

A

Autonomic and para sympathetic ( t2-t5 and vagus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Lymphatic drainage of parietal

A

Intercostal, parasternal, mediastetnal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Lymphatic of visceral

A

Bronchopulmonary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Clinical importance of apex of lung and cervical pleurae

A

Injuries to the root of the neck may cause pneumothorax

29
Q

Why are infants and young children more vulnerable to pneumothorax?

A

Because of the shortness ness of the neck

30
Q

Inferior border of costodiaphragmatic recess is related to

A

The kidney close to lateral border of erector spinae at the level of 12th rib

31
Q

What is pneumothorax ?

A

Accumulation of air in the pleural cavity that may be due to trauma.

32
Q

Chylothroax

A

Accusation of lymph

33
Q

Hydrothroax

A

Accumulation of fluid

34
Q

Hemothorax

A

Blood

35
Q

Pleural effusion

A

Causes obliteration of the costophenic angle

36
Q

Auscultation

A

Faint breath sounds over the compressed lung and absent breath sounds over the fluid in the cavity.

37
Q

Right side pleural effusion

A

Mediastinum displaced tot he left and right lung compressed

38
Q

Thoracentesis

A

Insertion if a needle into the pleural cavity to obtain a sample of fluid

39
Q

Where is the thoracentesis taken?

A

9th ICS in the midaxillary line during expiration

40
Q

Pleuritis is also known as

A

Pleurisy

41
Q

In pleuritis the surface of the pleurae becomes

A

Rough and a pleural rub is detected

42
Q

Which layer of pleurae is sensitive to pain

A

Parietal

43
Q

Explain pulmonary collapse

A

Penetrating wound through the thorax lung, air is sucked into the pleural cavity leading to collapse of the lung. The pleural cavity explains

44
Q

When is a chest tube needed?

A

During tension pneumothorax , air enters the pleural cavity during inspiration but cannot escape during expiration, large pleural effusion requires insertion of chest tube

45
Q

Where is the chest tube inserted?

A

5th and 6th ICS in the midaxillary line

46
Q

How is the needle point for the withdrawal of fluid in the lungs

A

Downwards

47
Q

What colour is the lungs at birth and adult?

A

Pink and grey

48
Q

Which border of the lungs is darker?

A

Posterior border

49
Q

Fetuses and still born infants lungs?

A

Lungs are firm, non Crepitant and do not float in water

50
Q

Pats of the lung

A

Apex
3 border: anterior , posterior, inferior
3 surfaces ; costal, diaphragmatic, mediastinal

51
Q

Apex of lungs

A

Extends into the root of the neck covered by cervical pleura

52
Q

Costal surfaces of the lungs

A

Related to thoracic wall, preserved specimens show impressions for ribs, costal cartilages and intercostal muscles.

53
Q

Diaphragmatic surface ( base)

A

Concave, related to diaphragm, the deeper on the right

54
Q

Mediastinal

A

Shows hilum,pulmonary liagment

55
Q

What is anterior to the hilum?

A

Cardiac impression

56
Q

What is in the caradiac impression?

A

Right auricle , atrium and ventricle

57
Q

The cardiac impression ascends with

A

Groove for Superior vena cava and right brachio cephalic vein

58
Q

What is joined posteriorly with the superior vena cava?

A

Azygos veinw

59
Q

Relations of mediastinal surface

A

Esophagus- behind the hilium and pulmonary liagment
Anteroinferior to cardiac impression for IVC
Above the groove for azygos the trachea and right vagus related

60
Q

Relations of mediastinal surface left side

A

Cardiac impression - left ventricle, auricle and right ventricle.

Arch and descending aorta- arches over the hilium and pulmonary liagment

From the summit above: groove for left subclavian artery

Behind the groove for subclavian- esophagus.

61
Q

Oblique fissure

A

Starts posterosuprior to the hilum, ascends to cross the posterior border about 5cm below the apex.

Passes obliquely to reach the inferior border at 6th costochrondal junction 7.5 cm from the midline.

62
Q

Horizontal fissure

A

4th rib midaxillary line to anterior border of the right lung.

63
Q

How many lobes are on the left lung ?

A

2

64
Q

How many lobes are on the right lung?

A

3 lobes

65
Q

Where is the pulmonary hilum located

A

Mediastinal surfaces

66
Q

What is the level of root?

A

T5, 6,7

67
Q

Structures passing in the pulmonary hilum?

A
Bronchi 
Pulmonary artery
2 pulmonary veins
Bronchial vessels
Pulmonary autonomic plexus
Lymph vessels
Bronchopulmonary lymph nodes
68
Q

What shape is the bronchopulmonary segment?

A

Pyramidal

69
Q

What supplies the bronchopulmonary segment?

A

Segmented bronchus and a tertiary branch of the pulmonary artery